ArticleJournal of youth and adolescence2025
Family Functioning and NSSI Urges among Chinese Adolescents: A Three-wave Chain Multiple Mediation Model.
Article in Journal of youth and adolescence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Depressive Symptoms Mediate the Association Between Family Functioning and Non-Suicidal Self-Injury in Adolescent Psychiatric Patients: A Cross-Sectional Study.Actas espanolas de psiquiatria · 2026Article
- Post-pandemic shocks and non-suicidal self-injury risk in working-age adults: differential pathways via psychological distress and social support.BMC public health · 2026Article
- Family functioning types and self-injury risk among left-behind secondary school students: a latent profile analysis with shame as a mediator.Frontiers in psychology · 2026Article
- Psychological, social, and neurobiological correlates of non-suicidal self-injury and suicidal behavior in adolescents: a narrative review.Frontiers in psychiatry · 2026Review
- Relationship between physical activity and latent profiles of regulatory emotional self-efficacy among high school students: a latent profile analysis.Frontiers in psychology · 2026Article
- NSSI contagion in adolescent friendships: exploring the impact of peer influence.Child and adolescent psychiatry and mental health · 2025Article
- Associations of the triglyceride-glucose index and its combined indices with non-suicidal self-injury in adolescents with depressive disorders: the mediating role of sleep quality.Frontiers in psychiatry · 2025Article
- Parental harsh parenting and non-suicidal self-injury among Chinese adolescents: the role of emotional uncontrollability, deviant peer affiliation, school disengagement, and self-control.Frontiers in psychiatry · 2025Article
- An investigation into non-suicidal self-injury and its influencing factors among middle school students in a city in Hebei province.Frontiers in public health · 2025Article
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4 authors.
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Abstract
Family functioning is used to evaluate the functioning of a family system, which exerts a huge influence on non-suicidal self-injury (NSSI). However, little is known about how family functioning relates to NSSI among adolescents, and existing research mainly depends on cross-sectional design, which cannot capture dynamic changes between variables. Additionally, NSSI urge has been established as a robust predictor of NSSI engagement and is clinically important. Guided by the integrated model of NSSI, the current study investigated two potential mediators (emotion regulation and self-esteem) of the relations between family functioning and NSSI urges to address these gaps. Participants were 1298 Chinese adolescents (50.5% male; Mage at Wave 2 = 15.08 years) from a three-wave longitudinal study with data spanning ten months. The results supported the chain multiple mediation model. Specifically, valid family functioning prevented NSSI urges through three indirect paths: (a) higher level of self-esteem; (b) more cognitive reappraisal to higher self-esteem; (c) less expressive suppression to higher self-esteem. The prediction of family functioning on cognitive reappraisal was weaker among girls, while the prediction of self-esteem on NSSI urges was stronger. These findings indicate that high family functioning is a powerful protective factor of NSSI urges, and NSSI interventions should aim to improve adolescents' family functioning, with attention to reinforcing emotion regulation and self-esteem, especially for girls.
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